A lot of people I know have more than one diagnosis, or have had different diagnoses over the course of their illnesses. I’m pretty boring. I only have one.
However, to a large degree, this is kind of academic. The point of a diagnosis is to help prescribe meds. Do you need a mood stabilizer? Do you need an anti-depressant? Do you need anti-anxiety meds? Anti-seizure meds? Anti-psychotics? Speed (to slow down ADD)?
I know people who are bipolar, borderline personality or schizo-affective, and they all take the same medication. WTF? My shrink tells me that there is a gene that is shared by all the mental illnesses. That’s just one out of many, but still, perhaps the disorders are all different versions of what is essentially the same thing.
The naming of the disorder is partly for diagnostic purposes. The more diagnoses, the better the psychiatrist can sound. They can bash other psychiatrists for not catching it. They can make you so glad you came to them to get the real diagnosis.
It’s bullshit. The prescribing of meds is still the same: hit or miss. It helps to know if you need a mood stabilizer or an anti-psychotic, but half the time the anti-psychotic stabilizes the mood and the mood stabilizer gets rid of the hallucinations. The doctors have no idea what med will work with what person. You just prescribe and hope.
There are currently 268 different combos of meds—just for bipolar disorder. I’ve heard people of going through 30 different combos before finding something that works. I’ve heard of more people who just give up and think the shrinks have no idea what they are doing.
The other thing is that diagnoses are kind of like merit badges. As are hospital stays. They can be a delineation of how sick we are. How difficult our troubles are. And, of course, some people use them as a way of labeling themselves and describing who they are. Who are you? I’m bipolar. Who are you? BPD. Cool. Wanna have lunch?
I think we need to get a little perspective. First of all, as the cliche goes, we are much more than any diagnosis. Second, the doctors can’t deal with these things very precisely. They can get in the ballpark, but from there on in, it’s hit or miss. The point is, we got stuff to deal with, and the diagnosis doesn’t help that much in pinpointing treatment. We know what town we’re in, but not which street, and especially not which house.
So I don’t take the diagnoses that seriously. I take the symptoms seriously. But I know that largely, there are many things we can all do that are not meds but will help. Those things are all the same things. Meds? Like I said. We are all guinea pigs.